Effects of ceramic layer thickness, cement color, and abutment tooth color on color reproduction of feldspathic veneers.

AIM: To optimize the esthetics of ceramic restorations, it is important to determine accurately the effects of various parameters on the final color of the restoration. However, there is a lack of information on what determines the color of translucent feldspathic veneers formed using ceramics such as Vita Mark II. The aim of this study was to evaluate the effects of the ceramic layer thickness, cement color, and abutment tooth color on the color of the feldspathic ceramic veneer restoration. MATERIAL AND METHODS: A total of 30 all-ceramic monolithic veneers (Vita Mark II) were fabricated using a CAD/CAM system. The crowns were divided into three groups of differing ceramic thickness (0.4-, 0.7-, and 1.0-mm thick). Each type of crown was seated on six different-colored abutment teeth (1M1 [reference], 1M2, 2M2, 3M2, 4M2, and 5M2) using seven different try-in paste colors. The color of the resulting restoration was evaluated using spectrophotometry with a spot-measurement device (Vita Easyshade Advance 4.0). Color data are expressed in CIE L*a*b* system coordinates, and color differences DeltaE relative to the reference tooth were calculated and analyzed using one-way analysis of variance (ANOVA) with the Bonferroni post hoc test at alpha = 0.05. RESULTS: The color difference DeltaE of the feldspathic all-ceramic veneer system was significantly affected by the thickness of the ceramic layer, the cement color, and the abutment tooth color (P < 0.05). The smallest values of DeltaE compared with the reference color were found when try-in pastes shade -3 was used. As the thickness of the ceramic layer increased, a significant decrease in DeltaE was found. As the color of the abutment tooth varied from light to dark, a significant increase was found in DeltaE. CONCLUSION: The thickness of the ceramic layer, the cement color, and the abutment tooth color significantly affected the color of the resulting CAD/CAM feldspathic ceramic veneer restoration.